The University of Sydney, Camperdown, New South Wales, Australia.
St Vincent's Hospital Sydney, Sydney, New South Wales, Australia.
Qual Health Res. 2021 Jan;31(1):100-112. doi: 10.1177/1049732320956267. Epub 2020 Sep 17.
Approximately 33% of those with bipolar disorder (BD) have a comorbid eating disorder (ED). However, the trajectory of these conditions has received little research attention. Nine participants who met criteria for BD and an ED participated in qualitative interviews exploring experiences of illness onset, the interaction of these conditions, and service provision. Almost all participants in the sample reported minimal to no screening of ED problems, despite their health professionals' frequent discussion of obesity. Findings suggested that ED features were diverse and evolved over time. Mania and depression were connected to ED features such as overeating and restricting, but this differed between and within participants. Most participants disclosed historic trauma which they considered central to their mental health concerns. This clinical group appears to be underserviced. Clinicians and researchers should routinely screen for ED features when treating and diagnosing BD to inform their physical and mental health interventions.
大约 33%的双相情感障碍（BD）患者伴有共病饮食障碍（ED）。然而，这些疾病的轨迹很少受到研究关注。9 名符合 BD 和 ED 标准的参与者参加了定性访谈，探讨了疾病发作的经历、这些疾病的相互作用以及服务提供情况。尽管他们的卫生专业人员经常讨论肥胖问题，但样本中的几乎所有参与者都报告说，对 ED 问题的筛查很少或没有，即使有也是如此。研究结果表明，ED 的特征是多种多样的，并随着时间的推移而演变。躁狂和抑郁与暴饮暴食和限制等 ED 特征有关，但在不同参与者和同一参与者之间有所不同。大多数参与者披露了他们认为与心理健康问题有关的历史创伤。这个临床群体似乎服务不足。临床医生和研究人员在治疗和诊断 BD 时应常规筛查 ED 特征，以告知他们的身心健康干预措施。
